Provider Demographics
NPI:1558465203
Name:RING, DOUGLAS ANDREW (DPM)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:ANDREW
Last Name:RING
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2101 LAC DEVILLE BLVD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14518
Mailing Address - Country:US
Mailing Address - Phone:585-244-1150
Mailing Address - Fax:585-473-9602
Practice Address - Street 1:2101 LAC DEVILLE BLVD
Practice Address - Street 2:SUITE 3
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14518
Practice Address - Country:US
Practice Address - Phone:585-244-1150
Practice Address - Fax:585-473-9602
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005134213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
5576346OtherAETNA PPO
000913681003OtherHEALTHY NY
NY01901959Medicaid
101984EQOtherPREFERRED CARE
8177OtherBLUE SHIELD
301120OtherWELLCARE
480028081OtherRAILROAD MEDICARE
P010005134OtherBLUE CHOICE